Individual
DR. AMZAD KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
234A BANK ST., 4TH FLOOR, NEW LONDON, CT 06320-6054
(860) 442-0290
(860) 442-2136
Mailing address
234A BANK ST., 4TH FLOOR, NEW LONDON, CT 06320-6054
(860) 442-0290
(860) 442-2136
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
049522
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008031151
—
CT
Enumeration date
06/11/2008
Last updated
12/17/2012
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